Cholangitis differential diagnosis: Difference between revisions
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|'''[[Acute appendicitis]]''' | |'''[[Acute appendicitis]]''' | ||
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| + in pyogenic | | + in pyogenic/ | ||
perforated type | |||
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|Starts in | |Starts in umblical area and radiates to LLQ | ||
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| + in perforated appendix | | + in perforated appendix | ||
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| | |RUQ | ||
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| | |LLQ | ||
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|'''[[Peptic ulcer|Peptic Ulcer]]''' | |'''[[Peptic ulcer|Peptic Ulcer]]''' | ||
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| | |Epigastrium or | ||
RUQ (in duodenal ulcer) | |||
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|[[Choledocholithiasis|'''Choledocholithiasis''']] | |[[Choledocholithiasis|'''Choledocholithiasis''']] | ||
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Revision as of 20:05, 23 October 2017
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Cholangitis Microchapters |
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Cholangitis differential diagnosis On the Web |
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Risk calculators and risk factors for Cholangitis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
Overview
Cholangitis must be differentiated from other causes of infection in the common bile duct, as well as inflammation and infection of cholecystitis.
Differentiating Cholangitis from other Diseases
Cholangitis should be differentiated from the following:[1]
- Acute cholecystitis
- Acute hepatitis
- Acute pancreatitis
- Biliary stricture
- Cancer of the common bile duct
- Cholestatic liver disease
- Cirrhosis
- Duodenal ulcer
- Gastic ulcer
- Pancreatic cancer
| Acute/
Chronic |
Disease | Clinical findings | Causes | Laboratory findings | Treatment | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fever | Rigors and chills | Abdominal pain | Site of pain | Jaundice | Hypotension | Other findings | ||||||
| Acute | Acute cholangitis /
Ascending cholangits |
+ | − | + | RUQ | + | − |
|
||||
| Acute suppurative
cholangitis |
++ | + | + | RUQ | + | + |
|
|||||
| Acute cholecystitis | ± | − | + | RUQ | ± | − |
|
|||||
| Acute pancreatitis | ± | − | + | LUQ, radiating to back | ± | − |
|
|||||
| Acute appendicitis | ± | + in pyogenic/
perforated type |
+ | Starts in umblical area and radiates to LLQ | − | + in perforated appendix | ||||||
| Acute hepatitis | + | − | + | RUQ | + | |||||||
| Acute diverticulitis | + | − | + | LLQ | − | |||||||
| Peptic Ulcer | ± | − | Epigastrium or
RUQ (in duodenal ulcer) |
− | ||||||||
| Liver abscess | ++ | + | + | RUQ | ± | |||||||
| Choledocholithiasis | − | − | ± | RUQ | ||||||||
| Chronic | Primary sclerosing | |||||||||||
| Primary biliary sclerosis | ||||||||||||
| Chronic pancreatitis | ||||||||||||
| Hepatitis | ||||||||||||
| Liver Cirrhosis | ||||||||||||
| RUQ= Right upper quadrant of the abdomen, LUQ= Left Upper quadrant, LLQ = Left lower quadrant | ||||||||||||
References
- ↑ Miura F, Takada T, Kawarada Y, Nimura Y, Wada K, Hirota M, Nagino M, Tsuyuguchi T, Mayumi T, Yoshida M, Strasberg SM, Pitt HA, Belghiti J, de Santibanes E, Gadacz TR, Gouma DJ, Fan ST, Chen MF, Padbury RT, Bornman PC, Kim SW, Liau KH, Belli G, Dervenis C (2007). "Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo Guidelines". J Hepatobiliary Pancreat Surg. 14 (1): 27–34. doi:10.1007/s00534-006-1153-x. PMC 2784508. PMID 17252294.